Bali Kritika, Ailawadi Radhika, Karuna Y M, Srikant N, Rao Ashwin, Nayak P Anupama, Thimmaiah Charisma
Manipal College of Dental Sciences, Mangalore, India.
Manipal Academy of Higher Education, Manipal, Karnataka, India.
BMC Res Notes. 2025 Jan 30;18(1):46. doi: 10.1186/s13104-025-07119-0.
Most children experience distress while visiting a dentist, above which the sound of the airotor and suction machine results in fear and difficulty in performing further procedures.
This was a randomized controlled parallel-group study of 40 children aged 6-13 years who required cavity preparation via the airotor. The children were randomly allocated to either Group 1 (Piano music app; active distraction combined with audio analgesia) or Group 2 (basic behavioural guidance alone). Self-reported dental anxiety was measured via a modified child dental anxiety scale, and behavior was assessed via Venham's and FLACC (Faces Legs Activity Cry and Consolability) scales. The data obtained were subjected to appropriate statistical analysis.
Self-reported dental anxiety was significantly lower in group 1 (p < 0.005). No significant difference between the groups was observed for the Venham and FLACC scores.
Compared with basic behavioural guidance alone, the use of active distraction with audio analgesia in the form of the piano music app significantly decreased the degree of dental anxiety caused by the use of the airotor. This also resulted in clinically better cooperation by the child during cavity preparation.
Registered in the Clinical Trials Registry India (CTRI/2024/07/070160) dated 08/07/2024.
大多数儿童在看牙医时会感到痛苦，其中气动牙钻和吸引器的声音会导致恐惧，并难以进行进一步的操作。
这是一项随机对照平行组研究，研究对象为40名年龄在6至13岁之间、需要通过气动牙钻进行窝洞预备的儿童。这些儿童被随机分配到第1组（钢琴音乐应用程序；主动分心结合音频镇痛）或第2组（仅基本行为指导）。通过改良的儿童牙科焦虑量表测量自我报告的牙科焦虑，并通过韦纳姆量表和FLACC（面部、腿部、活动、哭泣和安慰度）量表评估行为。对获得的数据进行适当的统计分析。
第1组自我报告的牙科焦虑显著较低（p < 0.005）。两组在韦纳姆量表和FLACC评分上未观察到显著差异。
与仅基本行为指导相比，以钢琴音乐应用程序形式进行主动分心结合音频镇痛，可显著降低因使用气动牙钻引起的牙科焦虑程度。这也使儿童在窝洞预备期间临床上有更好的配合。
于2024年7月8日在印度临床试验注册中心（CTRI/2024/07/070160）注册。
